Provider Demographics
NPI:1063100170
Name:LEMMONS, BEVERLY (LMSW)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:LEMMONS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 COURTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-5501
Mailing Address - Country:US
Mailing Address - Phone:865-310-3263
Mailing Address - Fax:
Practice Address - Street 1:307 LAFAYETTE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6079
Practice Address - Country:US
Practice Address - Phone:540-210-7624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker